Individual provider · Type 1 NPI

Upeksha Sewwandi Thilakawardana

Family Nurse Practitioner · Prince Frederick, MD

NPI number 1902384258 Active

Practice location

100 Hospital Rd
Prince Frederick, MD 20678-4017

Mailing address

9852 Fairfax Sq Apt 230
Fairfax, VA 22031-4252

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAC002395 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1902384258

Upeksha Sewwandi Thilakawardana's National Provider Identifier is 1902384258, issued on Jul 30, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prince Frederick, MD. The record was last updated on Jul 30, 2018.